| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN GRAND RAPIDS, MI 49505 | BLUE CARE NETWORK OF MICHIGAN | $35K | $0 | $35K | 1.93% |
| UNKNOWN3 | UNKNOWN GRAND RAPIDS, MI 49505 | BLUE CARE NETWORK OF MICHIGAN | $6K | $0 | $6K | 0.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENDRICKS AND STUIT INC. | 3055 44TH STREET SW GRANDVILLE, MI 49468 | UNION SECURITY INSURANCE COMPANY | $8K | $0 | $8K | 4.04% |
| C. KEVIN LAWRENCE3 | 3055 44TH STREET SW GRAND RAPIDS, MI 49505 | DELTA DENTAL OF MICHIGAN | $7K | $0 | $7K | 6.91% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS. AGENCY | 3055 44TH STREET SW GRANDVILLE, MI 49468 | UNION SECURITY INSURANCE COMPANY | $4K | $0 | $4K | 10.24% |
| BEREND HENDRICKS STUIT INSURANCE3 Filed as: BEREND, HENDRICKS AND STUIT INS. | PO BOX 99 HUDSONVILLE, MI 49426 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.85% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS HENDRICKS STUIT INS. AGENCY | PO BOX 953 GRANDVILLE, MI 49468 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.88% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BERENDS, HENDRICKS AND STUIT INS. | PO BOX 953 GRANDVILLE, MT 49468 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $470 | $3K | 12.33% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CARE NETWORK OF MICHIGAN | 300 | $1.8M |
| Dental | DELTA DENTAL OF MICHIGAN | 348 | $106K |
| Vision | VISION SERVICE PLAN | 123 | $27K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $27K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 173 | $43K |
| Long-term disability(2 contracts) | UNION SECURITY INSURANCE COMPANY | 175 | $231K |
| Prescription drug | BLUE CARE NETWORK OF MICHIGAN | 300 | $1.8M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 348 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.